<%inherit file="base.html" />

<%def name="head()">
    ${form.media}
</%def>

<%def name="content()">
    <h2>Myotonic Dystrophy Questionnaire</h2>

    <div class='requirednote'>
        <span>Note:</span> All fields in <span>BOLD</span> are required
    </div>

% if form.errors and form.errors.get('__all__'):
    <p class="error">Please correct the error(s) below:</p>
    ${ str(form.errors['__all__']) }
%endif

    <form method="POST">

        <div class='subform'>
            <div class='label'>${label}</div>
            <div class='content'>${self.output_form(form)}</div>
        </div>

        <input type="submit" value="Continue">

    </form>
</%def>
